LONG BEACH VAMC
NPI 1396378030
Clinic/Center - VA in Gardena, CA

Q: What is Long Beach Vamc's NPI number?

The NPI number for Long Beach Vamc is 1396378030. It was assigned to this organization in the NPPES registry on February 21, 2020. The provider is also known as Gardena VA Clinic.

Q: What is Long Beach Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Q: When was this NPI record last updated?

The NPPES record for Long Beach Vamc was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2020

1149 W 190TH ST STE 100, GARDENA, CA 90248(702) 341-3152(702) 341-3503 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Long Beach Vamc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG BEACH VAMC (NPI 1396378030) is a healthcare organization registered as a va in Gardena, California and active in the NPI registry since February 2020. The organization lists Erin Denise Potter, Npi Team Lead, as its authorized official.

NPPES Registry Identity

NPI1396378030

Entity TypeOrganization

Primary Taxonomy261QV0200X

Legal Business NameLONG BEACH VAMC

Location Address1149 W 190TH ST STE 100Gardena, CA 90248-4321

Mailing AddressPo Box 94407Cleveland, OH 44101-4407 · (702) 341-3152 · Fax (702) 341-3503

Phone(702) 341-3152

Fax(702) 341-3503

Organization SubpartNo

Authorized OfficialErin Denise PotterNpi Team Lead · (202) 382-2579

Enumeration DateFebruary 21, 2020

✔ NPI 1396378030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities

Taxonomy Code261QV0200X

1149 W 190TH ST STE 100, Gardena, CA 90248

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Other Names 1

Other NameGardena Va Clinic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Beach Vamc's NPI number?

The NPI number for Long Beach Vamc is 1396378030. It was assigned to this organization in the NPPES registry on February 21, 2020. The provider is also known as Gardena VA Clinic.

Where is Long Beach Vamc located?

Long Beach Vamc is located at 1149 W 190th St Ste 100, Gardena, CA 90248. The listed phone number is (702) 341-3152.

What is Long Beach Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Long Beach Vamc was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.